IndividualActive
Kendall Blackwell, DPM
NPI 1366483638 · Primary Podiatric Medicine Podiatrist · Wilson, NC
Provider details
- NPI number
- 1366483638
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 238 (NC)
Practice location
1704 Glendale Dr Sw
Suite a
Wilson, NC 27893-4678
Phone: (252) 237-0138
Fax: (252) 237-7903
Mailing address
1704 Glendale Dr Sw
Wilson, NC 27893-4678
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.